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   Therefore, when it comes to being a doctor, whether it is a surgeon in the future or a physician in the future, the purpose of having all the surgery during your internship period is to allow you to form a comprehensive way of thinking. It\'s not just about holding a scalpel every day, but learning to cooperate with multiple subjects and adopting a comprehensive approach to treatment. Once the internal medicine can not be cured, you must quickly seek the assistance of surgery, and then return to the internal medicine for treatment. In the acute stage, surgery can\'t make a knife, and the internal medicine department must come up with ideas.

   Her statement was obviously what Director Yang wanted. The hospital specially arranges for medical students to rotate in several departments, and it is necessary to know how the students have learned. Director Yang nodded to her, indicating that his intentions were basically the same.

   Internal medicine can perform immunotherapy treatment for the cause, but surgery must solve the problem of pus discharge, which is not something that internal medicine can do.

   Speaking of the surgical strategy she is good at, Xie Wanying said bluntly: "In other hospitals, I failed to help patients drain the pus. According to the simplest surgical thinking, it must be because the drainage tube was placed in the wrong position."

   Director Yang\'s hand stretched out, as if to point to the tip of her nose: You\'ve got to the point, go on.

  Doctor Jiang nodded: Yes, yes, this is the idea, but where should the drainage tube be placed? The doctor in the other hospital opened the abscess and drained the pus. The situation in the abdominal cavity is supposed to be the drainage tube that was clearly and clearly observed. The possibility of the drainage tube being placed incorrectly is extremely low. Therefore, at first, Dr. Jiang did not dare to casually question his colleagues in other hospitals.

"We often encounter such problems during and after laparotomy." Xie Wanying said, "After the abdominal cavity is opened, due to the intervention of the surgeon, the organs in the patient\'s abdominal cavity will be invaded and disturbed, and its physiological Functional activity will be disturbed after operation. It is manifested in intestinal adhesions and abnormal intestinal activity after operation. Back to this patient, because he has Crohn\'s disease, the disease itself has the performance of intestinal dysfunction. After the surgical intervention, the activities of his bowel and surrounding organs and tissues were further affected. After that, the location of the pus would change. Maybe his body changed more than the doctors expected in previous cases. Doctors in other hospitals have done drainage tubes. Debugging, I have tried the idea of ​​a second operation, but the patient is too weak so he does not dare to operate again. How to determine the position of this drainage tube has become a difficult problem, so that the negative pressure bottle is not dared to be used casually. At the same time, it is explained that the first operation may be There is a potential for error in judgment, where the surgeon did not pinpoint the location of the greatest inflammation."

  The door of the office was secretly opened from the outside, and it seemed that there was a head and ears that followed everyone in the room and listened to Xie Wanying.

   "Okay." Seeing that she said it well, Director Yang asked her to solve the problem according to this line of thinking, and said, "Tell me what specific measures you will take."

  The leaders of the medical education department are really not afraid of giving people a lot of pressure, so they chase after the victory.

   "Be sure to return to the origin, that is, the internal structure of the patient\'s body." Xie Wanying said.

   As if she knew what she was going to do next, Pan Shihua flipped through the patient\'s medical record and opened it to several CT examination results. Immediately, he took out a pen and notebook from his white coat pocket.

   (end of this chapter)